We have developed the largest and most comprehensive anal cancer care delivery in the UK. With 90 new cancers per year, the service delivers single-site management of chemoradiotherapy, using state-of-the-art Intensity Modulation Radiation therapy (IMRT), given by the oncologists for primary localised disease; an intensive aftercare surveillance programme for early detection of local relapse.
We have a weekly anal cancer multidisciplinary team meeting (MDT), and hold a joint anal cancer clinic with the surgeons and oncologists once a month.
When relapse occurs, we perform radical surgery with plastic reconstruction; long-term collection of patient-related outcomes. For early detection, the service manages precursor disease (AIN I to III); and offers laser ablation, topical chemotherapies, and photocoagulation for extensive pan-HPV perianal skin disease.
You can download a booklet on Understanding Anal Cancer and Understanding Rectal Cancer from the Macmillan website.
You can also read what Christie patient Lesley Nelson said about being treated for anal cancer at the Colorectal and Peritoneal Oncology Centre at The Christie, and what Christie patient Claudia Finamore said about being treated for complex anal and vaginal cancer by CPOC.